Appendix 3

CapeHigher Education Consortium / Western Cape Government

JOINT RESEARCH PROGRAMME 2015

Collaborative Project Funding Application Form

1.Lead researcher’s details

Surname / Initials / Title
University
Faculty / Dept. / Unit
E-mail / Telephone / 0

2. Additional university researchers’ details

Surname / Initials / Title
University
Faculty / Dept. / Unit
E-mail / Telephone / 0
Surname / Initials / Title
University
Faculty / Dept. / Unit
E-mail / Telephone / 0
Surname / Initials / Title
University
Faculty / Dept. / Unit
E-mail / Telephone / 0
Surname / Initials / Title
University
Faculty / Dept. / Unit
E-mail / Telephone / 0

3.Identified partners in the Western Cape Government

Surname / Initials / Title
Department
E-mail / Telephone / 0
Surname / Initials / Title
Department
E-mail / Telephone / 0
Surname / Initials / Title
Department
E-mail / Telephone / 0

4.Thematic area and budget requested

Please select the thematic area you are responding to and insert the budget amount applied for: / Budget Requested / Select
X
Resilience, human settlements and climate change
Digital innovation for Inclusive Development
Social Inclusion, Youth and Skills Development

5.Provide details of your proposed research project

Title:
Summarise the researchers’ qualifications and experience, and explain how these are relevant to the project
Background, rationale and description of the research problem
Describe how the project aligns with the specific theme, and the Province’s work in this area
Project objectives / research questions to be addressed
Research methodology / methods/
activities
Envisaged outputs and outcomes
List university project partners and describe their role(s) in the project
List partners identified in the Province and their role(s), where applicable
Time-frame and work plan

6.Budget: requests for 2015

Please complete the table include here
Each and every budget ITEM should be motivated in such a way that it justifies the amount/s requested.
Budget items must be aligned with the project work-plan described in Section 3 above.
Description of budget line item / Amount
a.
b.
c.
d.
e.
f.
TOTAL